Last Updated: 12/22/2024 5:22:09 AM
Pharmacy
Detail
Corporation / Company Owner Name |
K-MART CORPORATION |
Business (DBA) Name |
K-MART PHARMACY NO. 3128 |
License Number |
5-2162 |
Type of Pharmacy |
Retail |
Address |
4010 W OWEN K. GARRIOTT RD |
City, State, Zip |
ENID,
OK 73703-4899 |
Country |
|
Issue Date |
08/11/1978 |
Renewed Date |
09/27/2017 |
Expiration Date |
09/30/2018 |
End Date |
02/06/2018 |
Replacing |
|
Replaced By |
|
Drug Supplier |
No |
Sterile Compounding |
No |
Training Area |
No |
Unused Drug Dispensing |
No |
LTC Emergency Kit |
No |
Pharmacist-In-Charge |
BRENT EUGENE DITTMEYER - 9617 |
Status |
CLOSED |
In Process? |
|
|
|
|
Disciplinary Action
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that column.
No Disciplinary
Action |
|
|